{"id":20907,"date":"2018-03-09T09:10:27","date_gmt":"2018-03-09T09:10:27","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/la-ecocardiografa%c2%ada-transesofagica-y-su-impacto-en-la-cardiologa%c2%ada-pediatrica\/"},"modified":"2018-03-09T09:10:27","modified_gmt":"2018-03-09T09:10:27","slug":"la-ecocardiografa%c2%ada-transesofagica-y-su-impacto-en-la-cardiologa%c2%ada-pediatrica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/la-ecocardiografa%c2%ada-transesofagica-y-su-impacto-en-la-cardiologa%c2%ada-pediatrica\/","title":{"rendered":"La ecocardiograf\u00edatransesofagica y su impacto en la cardiolog\u00eda pediatrica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ana P\u00e9rez Mart\u00ednez <\/strong><\/h2>\n<p>La ecocardiograf\u00eda transsesof\u00e1gica (ete) ha demostrado ser una herramienta diagn\u00f3stica \u00fatil en los adultos. Su incorporaci\u00f3n en pediatr\u00eda, se est\u00e1 haciendo de una manera progresiva y paralela al desarrollo tecnol\u00f3gico (minituarizaci\u00f3n sondas).  objetivos  valorar el impacto que supone la introducci\u00f3n de la ete en la cardiolog\u00eda pedi\u00e1trica.  pacientes  0-16 a\u00f1os, diagnosticados de cardiopat\u00eda en la unidad pedi\u00e1trica del coraz\u00f3n, hospital 12 de octubre, de 1998-2001.  m\u00e9todo  los 347 ete fueron realiados en quir\u00f3fano, szala de hemodin\u00e1mica, uci pedi\u00e1trica, uci neonatal y laboratorio de ecocardiograf\u00eda. Se hicieron con anestesia general o sedaci\u00f3n profunda. Postbypass a requerimiento del cirujano, diagn\u00f3sticos cuando la ecocardiograf\u00eda transtor\u00e1cica fue insuficiente y durante procedimientos intervencionistas s\u00f3la o con fluoroscopia. Se estudiaron: edad, peso, patolog\u00eda, tipo de cirug\u00eda, t\u00e9cnica, complejidad, tiempo cec, clampaje a\u00f3rtico y ventilaci\u00f3n mec\u00e1nica; estancia uci y postoperatoria, reoperaci\u00f3n, mortalidad, patr\u00f3n oro, impacto.  resultados  147 ete postbypass, 120 diagn\u00f3sticos (38 prebypass), 80 intervencionistas. correlaci\u00f3n con patr\u00f3n oro: 100%. Complicaciones 0,83%. El impacto de los ete postbypass (entrada rey-bypass) fue del 7,48%; disminuy\u00f3 la tasa de reoperaciones tard\u00edas de 12,5 a 0% en los pacientes operados de canal auriculoventricular.  en los prebypass modific\u00f3 la estrategia quir\u00fargica en 15,78%; en los ete diagn\u00f3sticos cambi\u00f3 actitud terap\u00e9utica en un 19.16%.  conclusiones  la ete, en nuestras manos, es una t\u00e9cnica segura y fiable. En quir\u00f3fano, no interfiere con la cirug\u00eda. Oblig\u00f3 a entrar de nuevo en bypass optimizando la cirug\u00eda, mejor\u00f3 los cuidados postoperatorios inmediatos y disminuy\u00f3 la tasa de reoperaciones tard\u00edas en pacientes operados de canal auriculoventricular. descart\u00f3 patolog\u00eda cardiaca en un 4,87%. Se mostr\u00f3 imprescindible en el c<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>La ecocardiograf\u00edatransesofagica y su impacto en la cardiolog\u00eda pediatrica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 La ecocardiograf\u00edatransesofagica y su impacto en la cardiolog\u00eda pediatrica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ana P\u00e9rez Mart\u00ednez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/12\/2002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Angel Nogales Espert<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Zarco gutierrez <\/li>\n<li>Fernando Villagra blanco (vocal)<\/li>\n<li>lorenzo Galleti scaglioni (vocal)<\/li>\n<li> Cerro marin Mar\u00eda del (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ana P\u00e9rez Mart\u00ednez La ecocardiograf\u00eda transsesof\u00e1gica (ete) ha demostrado ser una herramienta diagn\u00f3stica \u00fatil en los adultos. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[63379,7781,63381,17736,63380,7413],"class_list":["post-20907","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-ana-perez-Martinez","tag-angel-nogales-espert","tag-cerro-marin-maria-del","tag-fernando-villagra-blanco","tag-lorenzo-galleti-scaglioni","tag-pedro-zarco-gutierrez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/20907","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=20907"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/20907\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=20907"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=20907"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=20907"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}